| Title: |
The integrated care pathway for individuals with severe disability resulting from brain injury: a descriptive retrospective study from the project for the Accreditation Canada Distinction program. |
| Authors: |
Grillo , Davide; Bargellesi , Stefano; Zangarini , Silvia; Sandrin , Elisa; Tudor , Liliana; Lanzi , Federica; Carretta , Giovanni; Longato , Carlo; Zuin , Massimo; De Zottis (PI), Giorgia |
| Source: |
Journal of Biomedical Practitioners; Vol. 9 No. 2 (2025) ; Journal of Biomedical Practitioners; V. 9 N. 2 (2025) ; 2532-7925 ; 10.13135/2532-7925/9.2.2025 |
| Publisher Information: |
Univesità di Torino |
| Publication Year: |
2025 |
| Collection: |
Università degli studi di Torino: SIRIO@unito.it - SIstema RIviste Open access |
| Subject Terms: |
severe Acquired Brain Injury; sABI; delayed discharge; length of stay |
| Description: |
INTRODUCTION A severe Acquired Brain Injury (sABI) is formally defined as an acquired brain injury that results in a comatose state, characterized by an acute-phase Glasgow Coma Scale (GCS) score of ≤ 8 persisting for more than 24 hours. Despite advances in complex case management, patients with severe Acquired Brain Injury (sABI) and extremely severe disability, often experience inappropriate hospitalization. This persistence in acute care or rehabilitation wards significantly contributes to the phenomenon of delayed discharge. The project launched by the ULSS 3 - Venezia health authority, initiated for participation in the “Accreditation Canada - Stroke Distinction” and “Accreditation Canada - Trauma Distinction” programs, aims to facilitate the community reintegration phase for these individuals. MATERIALS AND METHODS This study utilized a retrospective descriptive design to assess the characteristics of a cohort of individuals with sABI referred to the ULSS 3 facility. The analysis specifically focused on management indicators (e.g., hospital length of stay and delayed discharge metrics), clinical status, and multidimensional features. Eligibility for inclusion in the extra-hospital reintegration project was established through consensus during a dedicated multidisciplinary committee meeting. RESULTS A cohort of seven individuals (four males, three females) was included in this analysis. The cohort presented with a mean age of 64.14 ± 17.7 (37-86) years and a mean acute-phase GCS score of 6.4 ± 1.91 in the initial 24 hours. Upon review by the joint committee, all patients exhibited a high level of assistance required for Activities of Daily Living (ADL), mobility, and nursing care. The rehabilitation enrollment of these subjects occurred, on average, after 23.4 days. The mean length of stay (LOS) was 180.5 ± 65.1 (91-282) days. Furthermore, the mean duration between the formal approval for discharge and the actual patient discharge was 39.4 ± 32.2 (7-84) days. DISCUSSION The included patient population ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
https://ojs.unito.it/index.php/jbp/article/view/13075/10592; https://ojs.unito.it/index.php/jbp/article/view/13075 |
| DOI: |
10.13135/2532-7925/13075 |
| Availability: |
https://ojs.unito.it/index.php/jbp/article/view/13075; https://doi.org/10.13135/2532-7925/13075 |
| Rights: |
Copyright (c) 2025 Davide Grillo , Stefano Bargellesi , Silvia Zangarini , Elisa Sandrin , Liliana Tudor , Federica Lanzi , Giovanni Carretta , Carlo Longato , Massimo Zuin , Giorgia De Zottis (PI) |
| Accession Number: |
edsbas.16FED4B8 |
| Database: |
BASE |